JOHN IN-TAEK SONG

ATLANTA, GA
NPI1093808446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: GA  87662)
Additional Taxonomies207Y00000X Otolaryngology
(Licence: CO  40893)
Enumeration Date2006-09-30
Last Update Date2021-01-12
Business Address
JOHN IN-TAEK SONG MD
960 JOHNSON FERRY RD STE 335
ATLANTA, GA 30342-1625
Phone number: 404-257-1482
Mailing Address
JOHN IN-TAEK SONG MD
960 JOHNSON FERRY RD STE 335
ATLANTA, GA 30342-1625
Phone number: 404-257-1482